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Astonishing Healthcare breaks down the complex systems that move medicine, money, and care across the healthcare industry.
The show is built for the people doing the work.
For healthcare leaders, benefits professionals, pharmacy and medical claims stakeholders, employers, consultants, and anyone who needs to stay ahead of the forces shaping the healthcare ecosystem.

Clear, substantive conversations
We trade jargon and surface-level takes for clear, substantive conversations that help you understand what's happening and why it matters.
Sharper insight, practical context
You'll come away with sharper insight, practical context, and a better grasp of where the industry is headed.
Topics that move the needle
Each episode digs into the topics like: pharmacy benefit management, drug pricing & the supply chain, medical claims processing & adjudication, health benefits administration, and the regulatory shifts that change the rules overnight.
Latest episode
All episodes
Best of '24! AH001 - Building a PBM: Tech, Navigating Growth, and Delivering Value with AJ Loiacono
Episode 1 of Astonishing Healthcare featuring AJ Loiacono, Capital Rx's Co-Founder & CEO, is the first "Best of" encore.
November 29, 2024
AH080 - Health Benefits 101: The Importance of "Smart" Care Navigation, with Andy Kageleiry
Episode 80 of the Astonishing Healthcare podcast is all about healthcare navigation. Our guest, Andy Kageleiry (VP, Judi Care), explains the importance of smart care navigation to a benefits strategy.
August 29, 2025
AH077 - Rx Retro: An Approach to Safe & Effective Deprescribing, with Lauren Carroll, PharmD
This Episode of the Astonishing Healthcare podcast highlights Rx Retro, Capital Rx's medication deprescribing program. Sr. Clinical Programs Manager Lauren Carroll, PharmD, explains the program's levels, how pharmacists interact with members and providers, and much more!
August 8, 2025
AH079 - Capital Equilibrium, a New Level-Funded Pharmacy Plan, with Mike Miele, FSA, MAAA
Episode 79 of the Astonishing Healthcare podcast is all about level-funded insurance plans. Mike Miele, FSA, MAAA, explains what plan sponsors need to know and how they can bring predictability to pharmacy spending.
August 22, 2025










